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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT COMPLAIN' <br /> 600 East Main Street, Stockton, CA 95202-3029 copy <br /> •; ,;, <br /> ' Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/chd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: �rZ <br /> Address: -2 � 4 City: c-*0 Zip Code: <br /> Owner/Operator:'"' L�'i -K �(� � Telephone: cj 8 3 <br /> ProgramElement: ply Program Record:e,,o `7 D'? Inspection Type: ra� <br /> SB180 Posted es ❑ No Permit Posted �p Yes ❑No Reinspection on or After: , <br /> The items marked and/or listed below are violations detailed in the California Health&Safety Code(CHSC),commencing§113700. "Major"is a critical violation that <br /> poses an imminent risk to public health. Unless otherwise specified,violations marked"Major"must be corrected immediately or warrant immediate closure of the food <br /> establishment. "Minor"indicates a violation that does notpose an imminent public health risk,but warrants timely correction as noted. <br /> Critical Risk Factors Major Minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially <br /> c hazardous food i 2 0 v] frac i rt fit �- C.� (7" <br /> E <br /> F Inadequate cooking temperatures/practices 3 4 �.,01- L-+il <br /> c Improper reheating temperatures/practices 5 6 <br /> o l.� <br /> Improper cooling practices 7 6 { <br /> Adulturated/Contaminated food 9 19 <br /> Reused/returned food 11 12 C�i h� .D Yl. 7 .t3 7 aj- 6Gt%J t <br /> a <br /> c Cross contamination or improper handling <br /> r0 X of Food/Utensils/Equipment 13 14 tom) o,,-1c <br /> c Unapproved food source is 16 W rr t L ] 11 <br /> o ! 7rf <br /> Improper thawing of potentially hazardous i -1 I ! <br /> food 17 16 r l. wj C,b-v4,-C3 T1a,v/Eil�� <br /> c III employee/cuts/rashes 19 20 Ci ccLwA z&ca,'44 -1-2-3-127 -& GES La'-: I <br /> C .0 Lack of proper hand washing procedure 21 22 xx 0 <br /> m � W <br /> u Required sinks)/dish washing machine 23 24 ( � <br /> o -a -Z; removed,ino erable,inaccessible i"s�t/t !A— ate-1 11--ePSL �d La-, <br /> I x w Unsanitary Food Facility Conditions <br /> CriticallNon-Critical Area 25 26L, <br /> 6L <br /> m Hot water not available 27 211 <br /> CCo <br /> Lack of potable water supply 29 30 Y" I _ /l L V � <br /> 3 Improper sanitizer concentration/methods/ ` I <br /> 31 32 <br /> testing equipment S�u.�J'e- ,�, <br /> Sewage system failure/back up 33 34 <br /> bh <br /> v e <br /> oZd E No operablelaccessible toilets 35 36 i <br /> v � <br /> > Rodent/Cockroach/Other vermin infestation 37 36 <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. ALL <br /> DOCUMENTED CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. ALL UNPAID CHARGES <br /> ASSOCIATED WITH THE FACILITY OWNER OF RECORD OR APPLICANT SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE. <br /> ITEM/LACATION TEMP ITEM/LOCATION TEMP ITEWLOCATION TEMP <br /> Ur Ke )� o° o n la-- �e 3 <br /> 3q P rr q or <br /> Food Safety Certification Required: Yes❑NoTime In: aml m Time out: 3-ES am/6 <br /> Certificate Issued By: date:-1 '0� Received By: <br /> Name on Certificate: G Inspected By: <br /> EHD 16.023 <br /> ..,,.�___ C. _ _ n __.____ (i:J_ Tom_ ♦ .l.� a ......� i..f......- _ <br />